Customer Access and Reimbursement Specialist

Baylor Genetics; United States; A distancia; USD 52.000 - 78.000; Jornada completa

Descripción de la vacante

Baylor Genetics is seeking a Customer Access and Reimbursement Specialist to ensure patient access to services and accurate reimbursement. You will verify benefits, assist with financial assistance programs, and manage prior authorizations while collaborating with billing and clinical teams.

The role requires a Bachelor's degree and at least 2 years in a healthcare setting, with a focus on revenue cycle operations or patient access. Remote work options across the United States are available.

Formación

• Bachelor's degree in a related field.
• Minimum of 2 years of experience in a healthcare setting, preferably in revenue cycle operations or patient access.

Responsabilidades

• Coordinate efforts to ensure timely access to services by verifying insurance coverage and benefits.
• Assist patients in navigating the reimbursement process, including information on out-of-pocket costs and financial assistance programs.
• Manage prior authorization requirements by liaising with healthcare providers, payers, and patients to obtain necessary approvals.
• Review and reconcile patient balances, ensuring accurate billing and collections processes.
• Provide support and guidance to patients on financial assistance programs and payment options.
• Collaborate with internal departments, including billing, clinical, and customer experience teams, to resolve patient inquiries and concerns.
• Maintain accurate and up-to-date documentation of patient interactions and financial assistance applications.
• Stay informed about changes in healthcare regulations and reimbursement policies that may impact patient access and reimbursement.
• Participate in continuous process improvement initiatives to enhance efficiency and effectiveness in patient access and reimbursement processes.
• Adhere to all relevant compliance and privacy regulations in handling patient information and financial data.
• Perform other job-related duties as assigned.

Conocimientos

Insurance verification

Prior authorization

Billing systems

Communication skills

Detail-oriented

Time management

Educación

Bachelor's degree

Herramientas

Billing software

Payer portals

Descripción del empleo

Customer Access and Reimbursement Specialist

Job Category: Revenue Cycle Management

Requisition Number: CUSTO002588

• Posted : October 29, 2026
• Full-Time
• Remote

Locations

Showing 1 location

Remote
United States

Description

JOB SUMMARY

The Customer Access and Reimbursement Specialistplaysa crucial role in ensuring seamless access to services and reimbursement for patients. This positionis responsible foroverseeing patient financialassistanceprograms, verification of benefits, prior authorization, and managing out-of-pocket balances.

KEY RESPONSIBILITIES

• Coordinate efforts to ensuretimelyaccess to services for patients by verifying insurance coverage and benefits.
• Assistpatients in navigating the reimbursement process, including providing information on out-of-pocket costs and financialassistanceprograms.
• Manage prior authorization requirements by liaising with healthcare providers, payers, and patients to obtain necessary approvals.
• Review and reconcile patient balances, ensuringaccuratebilling and collectionsprocesses.
• Provide support and guidance to patients on financialassistanceprograms and payment options.
• Collaborate with internal departments, including billing, clinical, and customer experience teams, to resolve patient inquiries and concerns.
• Maintainaccurateand up-to-date documentation of patient interactions and financialassistanceapplications.
• Stay informed about changes in healthcare regulations and reimbursement policies that mayimpactpatient access and reimbursement.
• Participate in continuous process improvement initiatives to enhance efficiency and effectiveness in patient access and reimbursement processes.
• Adhere to all relevant compliance and privacy regulations in handling patient information and financial data.
• Perform other job-related duties as assigned.

QUALIFICATIONS

Required

• Bachelor's degree in a related field.
• Minimum of 2 years of experience in a healthcare setting, preferably in revenue cycle operations or patient access.

COMPETENCIES

• Proficiencyin navigating andutilizinghealthcare billing systems.
• Strong understanding of insurance verification, prior authorization, and reimbursement processes.
• Excellent communication skills with the ability to interact effectively with patients, payers, and internal stakeholders.
• Detail-oriented with strong organizational and time management skills.
• Ability to work independently and collaboratively in a fast-paced environment.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Frequently required to sit.
• Frequently required to stand.
• Frequently required toutilizehand and finger dexterity.
• Frequently required to talk or hear.

EEO Statement:

Baylor Genetics is proud to be an equal opportunity employer committed to fostering an inclusive and diverse workplace. We welcome and encourage applicants from all backgrounds to apply. We do not discriminateon the basis ofrace, color, religion, national origin, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, pregnancy, childbirth, or any other status protected by applicable federal, state, or local law. If you needan accommodationduring the application process, please contact our Human Resources team.

Qualifications

Education

Preferred

Bachelors or better in Business Administration.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.